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Short Notes on Dementia 2017 - Dr Mark Burgin

06/12/17. Dr. Mark Burgin BM BCh (oxon) MRCGP considers the elements that should be included in a primer for clinical negligence cases involving Dementia.

The memory systems fail either because of diffuse damage to the brain or due to specific damage to the memory systems such as the hippocampus and both are irreversible.

Loss of memory causes a profound loss in intellectual performance but relative protection to social skills and activities of daily living so that the problem is recognised later in retired patients.

Early signs are described as mild cognitive impairment and are similar to lifelong learning difficulties or age related cognitive decline. (1)

As with any organ failure it is the speed of decline that is critical so that if factor A contributes 10% to the problem and factor B causes a 10% decline in 3 months then factor A is only responsible for 3 months disability...

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